| Key Autism Services Tx, Llc | |
|
5050 Quorum Dr Ste 700 Dallas TX 75254-1410 | |
| (857) 829-4040 | |
| Not Available |
| Full Name | Key Autism Services Tx, Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 5050 Quorum Dr Ste 700, Dallas, Texas |
| Authorized Official Name and Position | Mark Harper (DIR OF OPERATIONS) |
| Authorized Official Contact | 8578294040 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Key Autism Services Tx, Llc 1385 Hwy 35 # 284 Middletown NJ 07748-2012 Ph: () - | Key Autism Services Tx, Llc 5050 Quorum Dr Ste 700 Dallas TX 75254-1410 Ph: (857) 829-4040 |
| NPI Number | 1104471697 |
|---|---|
| Provider Enumeration Date | 08/02/2019 |
| Last Update Date | 02/28/2024 |
| Certification Date | 02/28/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104471697 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Secondary |
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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